Civic Intelligence

Niobrara Valley Hospital Corporation

990 • Fiscal year 2013 • EIN 47-0537192

Sep 01, 2012 to Aug 31, 2013 • Filed on Mar 26, 2014

Organization ProfileWWW.NVHCARES.ORG

View Organization Page

PO Box 11868746
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

64th percentile

0.26x

Higher debt load relative to assets than 64% of similar nonprofits.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2013

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2013

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2013

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2013

Asset Growth

90th percentile

39%

Faster asset growth than 90% of similar nonprofits.

2013 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Balance Sheet
Liabilities / Assets64th percentile

Assets

Up

$2,143,552

Up $602,183 (+39%) from 2012

Net Assets

Up

$1,578,107

Up $244,327 (+18%) from 2012

Liabilities

Up

$565,445

Up $357,856 (+172%) from 2012

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

-

No earlier filing loaded for comparison.

Expenses

Down

$1,893,582

Down $113,340 (-5.6%) from 2012

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth90th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$8.0M$6.0M$4.0M$2.0M$0Assets 2010: $1,509,113Liabilities 2010: $212,469Net Assets 2010: $1,296,6442010Assets 2011: $1,762,127Liabilities 2011: $353,997Net Assets 2011: $1,408,1302011Assets 2012: $1,541,369Liabilities 2012: $207,589Net Assets 2012: $1,333,7802012Assets 2013: $2,143,552Liabilities 2013: $565,445Net Assets 2013: $1,578,1072013Assets 2014: $2,181,126Liabilities 2014: $280,921Net Assets 2014: $1,900,2052014Assets 2015: $2,594,503Liabilities 2015: $433,004Net Assets 2015: $2,161,4992015Assets 2016: $2,911,301Liabilities 2016: $350,577Net Assets 2016: $2,560,7242016Assets 2017: $2,682,556Liabilities 2017: $173,888Net Assets 2017: $2,508,6682017Assets 2018: $2,674,803Liabilities 2018: $180,869Net Assets 2018: $2,493,9342018Assets 2019: $2,803,967Liabilities 2019: $325,594Net Assets 2019: $2,478,3732019Assets 2020: $5,178,994Liabilities 2020: $2,689,810Net Assets 2020: $2,489,1842020Assets 2021: $6,478,410Liabilities 2021: $2,288,361Net Assets 2021: $4,190,0492021Assets 2022: $5,150,725Liabilities 2022: $569,992Net Assets 2022: $4,580,7332022Assets 2023: $5,150,479Liabilities 2023: $363,189Net Assets 2023: $4,787,2902023Assets 2024: $4,825,497Liabilities 2024: $266,269Net Assets 2024: $4,559,2282024

Highlighted filing

2013

Assets$2,143,552
Liabilities$565,445
Net Assets$1,578,107
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $1,824,9802010Expenses 2011: $1,863,1722011Revenue 2012: $1,915,435Expenses 2012: $2,006,922Net Income 2012: -$91,4872012Expenses 2013: $1,893,5822013Revenue 2014: $2,514,546Expenses 2014: $2,213,850Net Income 2014: $300,6962014Revenue 2015: $2,802,010Expenses 2015: $2,526,359Net Income 2015: $275,6512015Revenue 2016: $3,063,703Expenses 2016: $2,680,149Net Income 2016: $383,5542016Revenue 2017: $2,625,555Expenses 2017: $2,696,588Net Income 2017: -$71,0332017Revenue 2018: $2,672,922Expenses 2018: $2,705,788Net Income 2018: -$32,8662018Revenue 2019: $2,628,798Expenses 2019: $2,651,489Net Income 2019: -$22,6912019Revenue 2020: $2,800,595Expenses 2020: $2,850,004Net Income 2020: -$49,4092020Revenue 2021: $4,629,640Expenses 2021: $2,967,461Net Income 2021: $1,662,1792021Revenue 2022: $3,540,126Expenses 2022: $3,156,773Net Income 2022: $383,3532022Revenue 2023: $3,736,713Expenses 2023: $3,509,363Net Income 2023: $227,3502023Revenue 2024: $3,858,948Expenses 2024: $4,066,317Net Income 2024: -$207,3692024

Highlighted filing

2013

Revenue-
Expenses$1,893,582
Net Income-
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Sep 1, 2012 to Aug 31, 2013
Signed
Mar 26, 2014
Return Version
2012v2.1
Gross Receipts
$2,112,161
Mission and Program Overview

Mission

To deliver excellent, compassionate and personalized healthcare for the people we serve.

Filing and Contact Details

Filer

EIN
47-0537192
Raw XML AppendixShowing 400 of 644 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Description0NIOBRARA VALLEY HOSPITAL PROVIDES QUALITY HEALTH CARE REGARDLESS OF RACE, CREED, COLOR, NATIONAL ORIGIN, AGE, SEX, HANDICAP OR ABILITY TO PAY. ALL PERSONS ADMITTED OR TREATED IN THE OUTPATIENT AREA OF THE HOSPITAL SHALL HAVE EQUAL CARE AND TREATMENT AND FULL USE OF ALL HOSPITAL FACILITIES AND SERVICES. REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF NIOBRARA VALLEY HOSPITAL, BUT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES AND FURTHER THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. THEREFORE, IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVING ALL MEMBERS OF ITS COMMUNITY: 1.) NIOBRARA VALLEY HOSPITAL MUST BE RESPONSIVE TO THE CHANGING NEEDS OF THE HEALTH CARE INDUSTRY, THE COMMUNITY, AND ITS OWN NEEDS. BUT AS NIOBRARA VALLEY HOSPITAL CHANGES, IT IS DETERMINED TO REMAIN AN INSTITUTION WHERE THE CARE THAT IS RENDERED IS COMPASSIONATE AS WELL AS COMPETENT. 2.) NIOBRARA VALLEY HOSPITAL IS AND SHALL CONTINUE TO BE, A FAMILY CENTERED, COMMUNITY ORIENTED HOSPITAL, OFFERING COMPREHENSIVE MEDICAL SERVICES. 3.) THE STATED PHILOSOPHIES OF NIOBRARA VALLEY HOSPITAL SHALL PERMEATE ALL ACTIVITIES OF THE HOSPITAL AND MOST IMPORTANTLY, THAT OF PATIENT CARE. 4.) THE QUALITY OF PATIENT CARE SHALL CONTINUE TO RECEIVE PRIMARY EMPHASIS AT NIOBRARA VALLEY HOSPITAL. 5.) NIOBRARA VALLEY HOSPITAL SHALL PRUDENTLY UTILIZE ITS RESOURCES THROUGH EFFICIENT AND EFFECTIVE MANAGEMENT; CAREFUL CONSIDERATION SHALL BE GIVEN TO THE COST/BENEFIT RELATIONSHIP OF DELIVERING SERVICES WITHOUT COMPROMISING THE QUALITY OF CARE. 6.) NIOBRARA VALLEY HOSPITAL SHALL PROVIDE AN ATMOSPHERE CONDUCIVE TO THE DEVELOPMENT OF EFFECTIVE WORKING RELATIONSHIPS AMONG THE VARIOUS ELEMENTS NECESSARY BOTH INSIDE AND OUTSIDE THE HOSPITAL FAMILY. THIS FAMILY INCLUDES THE BOARD OF DIRECTORS, MEDICAL STAFF, ADMINISTRATION, EMPLOYEES, THE COMMUNITY, AUXILIARY, AND FRIENDS OF THE HOSPITAL. 7.) NIOBRARA VALLEY HOSPITAL SHALL OFFER CONTINUING EDUCATION PROGRAMS AND SERVICES FOR ITS MEDICAL STAFF AND HOSPITAL PERSONNEL. NIOBRARA VALLEY HOSPITAL ALSO SHALL STRIVE TO PROVIDE ITS PATIENTS AND THE COMMUNITY WITH EDUCATION IN HEALTH RELATED MATTERS. 8.) NIOBRARA VALLEY HOSPITAL SHALL PLAN FOR ITS FUTURE. TO THIS END, THE HOSPITAL SHALL COOPERATE WITH OTHER HEALTH CARE PROVIDERS WITHIN THE HEALTH CARE DELIVERY SYSTEM IN A MANNER CONSISTENT WITH ITS STATED PHILOSOPHY. 9.) NIOBRARA VALLEY HOSPITAL SHALL SERVE AS A CATALYST WITHIN THE COMMUNITY TO IDENTIFY THE COMMUNITY'S HEALTH CARE NEEDS, AND SHALL DETERMINE THE LEVEL OF APPROPRIATE PARTICIPATION BY THE HOSPITAL IN MEETING SUCH NEEDS. 10.) NIOBRARA VALLEY HOSPITAL WILL CONSIDER WHERE THE NEED AND/OR THE INDIVIDUAL'S ABILITY TO PAY COEXIST AND OFFER FREE CARE TO THOSE WHO QUALIFY. 11.) NIOBRARA VALLEY HOSPITAL SERVED 68 INPATIENT DAYS, 1,265 SWING AND RESPITE CARE DAYS AND 184 EMERGENCY ROOM VISITS. 12.) NIOBRARA VALLEY HOSPITAL PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT COST. CHARITY CARE IS ALSO PROVIDED THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH NIOBRARA VALLEY HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE INCLUDE: 1.) OPERATED A FULL TIME EMERGENCY ROOM THAT PROVIDES MEDICAL SERVICES TO ALL MEMBERS OF THE PUBLIC REGARDLESS OF ABILITY TO PAY. 2.) SPONSORED TWO HEALTH FAIRS FOR THE COMMUNITY WITH LAB TESTS, BLOOD PRESSURE TESTING, AND WOMEN'S HEALTH ISSUES. 3.) A VARIETY OF HEALTH CARE MATERIAL WAS DISTRIBUTED TO FOSTER HEALTH EDUCATION IN THE COMMUNITY. 4.) PROVIDED ASSISTANCE TO MEDICARE PATIENTS WITH RESPECT TO THEIR BENEFITS UNDER THE MEDICARE PROGRAM. 5.) IN FISCAL YEAR 2013, WE PROVIDED $4,292 IN UNCOMPENSATED CARE TO INDIVIDUALS WHO MET OUR CRITERIA FOR CHARITY CARE. 6.) EXCESS REVENUE IS REINVESTED IN NEW EQUIPMENT WHICH UPGRADES TECHNOLOGY WHICH WILL ALLOW NIOBRARA VAL
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IRS990ScheduleC/Form990ScheduleCPartIV/Explanation0PAID NEBRASKA HOSPITAL ASSOCIATION DUES WHICH INCLUDE $410 FOR LOBBYING.
IRS990ScheduleC/Form990ScheduleCPartIV/Identifier0EXPLANATION OF LOBBYING ACTIVITIES:
IRS990ScheduleC/Form990ScheduleCPartIV/ReturnReference0PART II-B, LINE 1:
IRS990ScheduleC/GrantsOtherOrganizations00
IRS990ScheduleC/MailingsMembers00
IRS990ScheduleC/MediaAdvertisements00
IRS990ScheduleC/NotDescribedIn501c300
IRS990ScheduleC/OtherActivities01
IRS990ScheduleC/OtherActivitiesAmount0410
IRS990ScheduleC/PaidStaffOrManagement00
IRS990ScheduleC/PublicationsOrBroadcast00
IRS990ScheduleC/RalliesDemonstrations00
IRS990ScheduleC/TotalLobbyingExpendituresIIB0410
IRS990ScheduleC/Volunteers00
IRS990ScheduleD/Buildings/BookValue0216527
IRS990ScheduleD/Buildings/Depreciation0857133
IRS990ScheduleD/Buildings/OtherCostOrOtherBasis01073660
IRS990ScheduleD/Equipment/BookValue035408
IRS990ScheduleD/Equipment/Depreciation0761083
IRS990ScheduleD/Equipment/OtherCostOrOtherBasis0796491
IRS990ScheduleD/ExpensesNotRptdF99000
IRS990ScheduleD/ExpensesNotRptdOnFinStmt042596
IRS990ScheduleD/ExpensesSubtotal01850986
IRS990ScheduleD/Form990ScheduleDPartXIII/Explanation0CHANGE IN INTEREST IN NIOBRARA VALLEY HOSPITAL FOUNDATION 25,748.
IRS990ScheduleD/Form990ScheduleDPartXIII/Explanation1PROVISION FOR UNCOLLECTIBLE ACCOUNTS 42,596.
IRS990ScheduleD/Form990ScheduleDPartXIII/Explanation2PROVISION FOR UNCOLLECTIBLE ACCOUNTS 42,596.
IRS990ScheduleD/Form990ScheduleDPartXIII/Identifier0PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/Form990ScheduleDPartXIII/Identifier1PART XI, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/Form990ScheduleDPartXIII/Identifier2PART XII, LINE 4B - OTHER ADJUSTMENTS:
IRS990ScheduleD/OtherAssets/BookValue0240045
IRS990ScheduleD/OtherAssets/Description0INTEREST IN NIOBRARA VALLEY HOSPITAL FOUNDATION
IRS990ScheduleD/OtherExpensesNotIncluded042596
IRS990ScheduleD/OtherLandBuildings/BookValue056561
IRS990ScheduleD/OtherLandBuildings/Depreciation06405
IRS990ScheduleD/OtherLandBuildings/OtherCostOrOtherBasis062966
IRS990ScheduleD/OtherLiabilities/Amount0398994
IRS990ScheduleD/OtherLiabilities/Description0ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS
IRS990ScheduleD/OtherRevenues025748
IRS990ScheduleD/OtherRevenuesNotIncluded042596
IRS990ScheduleD/RevenueNotRptdF990025748
IRS990ScheduleD/RevenueNotRptdOnFinStmt042596
IRS990ScheduleD/RevenueSubtotal02069565
IRS990ScheduleD/TotalBookValueOtherAssets0240045
IRS990ScheduleD/TotalExpensesPerForm99001893582
IRS990ScheduleD/TotalOfAmounts0398994
IRS990ScheduleD/TotalOfBookValueLandBuildings0308496
IRS990ScheduleD/TotalRevenuePerForm99002112161
IRS990ScheduleD/TotExpensesEtcAuditedFinclStmt01850986
IRS990ScheduleD/TotRevenueEtcAuditedFinclStmt02095313
IRS990ScheduleH/AmountAttributableTo00
IRS990ScheduleH/AmountReimbursedByMedicare01287172
IRS990ScheduleH/AmountsBudgetedForCharityCare00
IRS990ScheduleH/AnnualCommunityBenefitReport01
IRS990ScheduleH/BadDebtExpenseAmount042596
IRS990ScheduleH/BadDebtExpenseReported01
IRS990ScheduleH/CharityCareAtCost/DirectOffsettingRevenue00
IRS990ScheduleH/CharityCareAtCost/NetCommunityBenefitExpense03743
IRS990ScheduleH/CharityCareAtCost/PercentOfTotalExpense00.00200
IRS990ScheduleH/CharityCareAtCost/TotalCommunityBenefitExpense03743
IRS990ScheduleH/CharityCarePolicy01
IRS990ScheduleH/CommunityHealthServices/DirectOffsettingRevenue07310
IRS990ScheduleH/CommunityHealthServices/NetCommunityBenefitExpense015577
IRS990ScheduleH/CommunityHealthServices/PercentOfTotalExpense00.00840
IRS990ScheduleH/CommunityHealthServices/TotalCommunityBenefitExpense022887
IRS990ScheduleH/CostingMethodologyUsed/CostToChargeRatio0X
IRS990ScheduleH/CostOfCareReimbursedByMedicare01274427
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation0PART I, LINE 3C: AT NIOBRARA VALLEY HOSPITAL, THERE IS NO DISCOUNTED CARE. EITHER THE PATIENT QUALIFIES FOR FREE CARE OR HE/SHE DOES NOT. ELGIBILITY FOR FREE CARE IS BASED OF 100% OF FEDERAL POVERTY GUIDELINES.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation1PART I, LINE 6A: NIOBRARA VALLEY HOSPITAL'S COMMUNITY BENEFIT REPORT IS PREPARED BY THE STAFF OF NIOBRARA VALLEY HOSPITAL.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation2PART I, LINE 7: NIOBRARA VALLEY HOSPTIAL UTILIZED AN OVERALL COST TO CHARGE RATIO (TOTAL EXPENSES - BAD DEBT) / NET PATIENT SERVICE REVENUE = PERCENTAGE OF COST TO CHARGE.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation3PART I, LINE 7G: THERE ARE NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC INCLUDED ON LINE 7G.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation4PART I, L7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $42,596.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation5PART II: NIOBRARA VALLEY HOSPITAL DOES NOT HAVE ANY COMMUNITY BUILDING ACTIVITIES.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation6IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR THOSE ACCOUNTS OVER A CERTAIN AGE BASED ON DISCHARGE THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.PAYMENT FOR SERVICES IS EXPECTED WITHIN THIRTY DAYS OF RECEIPT OF THE BILLING. ACCOUNTS CONSIDERED PAST DUE ARE SENT TO COLLECTION AGENCIES WHEN INTERNAL COLLECTION EFFORTS HAVE BEEN UNSUCCESSFUL. ANY AMOUNTS DEEMED UNCOLLECTIBLE ARE WRITTEN OFF ON A MONTHLY BASIS. THE HOSPITAL CHARGES AN INTEREST RATE OF 14% ON OUTSTANDING BALANCES OWED.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation7PART III, LINE 4: THERE IS NO FOOTNOTE TO THE NIOBRARA VALLEY HOSPITAL'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE. HOWEVER, THE FOLLOWING IS THE TEXT OF THE FOOTNOTES TITLED "PATIENT ACCOUNTS RECEIVABLE, NET", "NET PATIENT SERVICE REVENUE" AND "CHARITY CARE":"PATIENT ACCOUNTS RECEIVABLES, NET":THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYORS, PATIENTS AND OTHERS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR THOSE ACCOUNTS OVER A CERTAIN AGE BASED ON DISCHARGE THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.PAYMENT FOR SERVICES IS EXPECTED WITHIN THIRTY DAYS OF RECEIPT OF THE BILLING. ACCOUNTS CONSIDERED PAST DUE ARE SENT TO COLLECTION AGENCIES WHEN INTERNAL COLLECTION EFFORTS HAVE BEEN UNSUCCESSFUL. ANY AMOUNTS DEEMED UNCOLLECTIBLE ARE WRITTEN OFF ON A MONTHLY BASIS. THE HOSPITAL CHARGES AN INTEREST RATE OF 14% ON OUTSTANDING BALANCES OWED."NET PATIENT SERVICE REVENUE":THE HOSPITAL HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE HOSPITAL AT AMOUNTS DIFFERENT FROM ITS ESTABLISHED RATES. PAYMENT ARRANGEMENTS INCLUDE REIMBURSED COSTS, DISCOUNTED CHARGES AND PER DIEM PAYMENTS. NET PATIENT SERVICE REVENUE IS REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS AND OTHERS FOR SERVICES RENDERED, INCLUDING ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS FINAL SETTLEMENTS ARE DETERMINED."CHARITY CARE":THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED IN THE STATEMENTS OF OPERATIONS. THE HOSPITAL IS DEDICATED TO PROVIDING COMPREHENSIVE HEALTHCARE SERVICES TO ALL SEGMENTS OF SOCIETY, INCLUDING THE AGED AND OTHERWISE ECONOMICALLY DISADVANTAGED. IN ADDITION, THE HOSPITAL PROVIDES A VARIETY OF COMMUNITY HEALTH SERVICES AT OR BELOW COST.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation8PART III, LINE 8: NIOBRARA VALLEY HOSPITAL USED THE AUGUST 31, 2013 MEDICARE COST REPORT TO ARRIVE AT MEDICARE ALLOWABLE COSTS. NVH USED WORKSHEETS D-1, D-3, E, E-2 AND E-3 OF THE COST REPORT.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation9PART III, LINE 9B: THE COLLECTION POLICY INCLUDES AN EXPLANATION OF NVH'S CHARITY CARE PROGRAM. THE PROGRAM IS CONSIDERED A "LAST RESORT" FOR PATIENTS MAKING A GENUINE EFFORT TO PAY THEIR BILLS. ALL OTHER AVENUES FOR PAYMENT MUST BE EXHAUSTED (SUCH AS MEDICAID, DISABILITY, KID'S CONNECTION) BEFORE THIS PROGRAM APPLIES. REGULAR COLLECTION EFFORTS WILL BE FOLLOWED UNTIL A DETERMINATION IS MADE FROM A COMPLETED ASSISTANCE APPLICATION THAT A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation10PART V, SECTION B, LINE 3: NORTH CENTRAL DISTRICT HEALTH DEPARTMENT (NCDHD) CONTRACTED WITH DR. JOSEPH NITZKE, PHD OF IONIA RESEARCH, TO REVIEW AND PUBLISH AN ANALYSIS OF THE DISTRICT'S DATA. THE "REPORT ANALYSIS AND COMMENTS PUBLIC HEALTH DATA (PHAN)" DOCUMENT HAS BEEN PREPARED FOR NCDHD USING PUBLIC HEALTH AGENCIES OF NEBRASKA (PHAN) DATA AS THE PRIMARY SOURCE. THE INTENT IS TO SUMMARIZE TRENDS IN DATA AND DIFFERENCES BETWEEN THE COUNTIES SERVED BY NCDHD AND THE REST OF THE STATE OF NEBRASKA.THE OBSERVATIONS WITHIN THE REPORT ARE BASED ON THE APPLICATION OF FORMULAS TO EVALUATE "DEPENDENT CRUDE RATES/RATIOS" (CRUDE RATE ANALYSIS), COMPARING THE NCDHD DISTRICT RATES OR PERCENTAGES FOR AN INDICATOR WITH THOSE OF THE STATE TO DETERMINE WHETHER OR NOT THOSE DIFFERENCES ARE SIGNIFICANT. THESE OBSERVATIONS ARE ALSO PLACED IN THE CONTEXT OF OTHER REPORTS WHERE APPROPRIATE, INCLUDING THE BEHAVORIAL RISK FACTOR SURVELLIANCE SYSTEM (BRFSS 2007-2008), THE 2005 DATA BOOK PRODUCED BY THE NEBRASKA HEALTH INFORMATION PROJECT, PRIOR ASSESSMENTS, AND STATE PROFILES.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation11PART V, SECTION B, LINE 4: THERE ARE MANY REASONS WHY, IN OUR THIRD PROCESS OF COMMUNITY NEEDS ASSESSMENT AND PLANNING, IT WAS LOGICAL FOR THE NORTH CENTRAL DISTRICT HEALTH DEPARTMENT TO PARTNER WITH THE ELEVEN DISTRICT HOSPITALS TO COMPLETE A JOINT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE MAJOR REASON IS TO IMPROVE OVERALL COMMUNITY HEALTH THROUGH THE ASSISTANCE OF MULTIPLE PARTNERS. ADDITIONAL REASONS FOR COLLABORATION EXIST: EIGHT OF OUR ELEVEN LOCAL HOSPITALS ARE NOW REQUIRED TO COMPLETE BOTH A COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN TO MEET IRS REQUIREMENTS TO MAINTAIN THEIR NON-PROFIT STATUS. THOSE HOSPITALS ARE: ANTELOPE MEMORIAL HOSPITAL, NELIGH, NE (ANTELOPE COUNTY) AVERA CREIGHTON HOSPITAL, CREIGHTON, NE (KNOX COUNTY) AVERA SAINT ANTHONY'S HOSPITAL, O'NEILL, NE (HOLT COUNTY) OSMOND GENERAL HOSPITAL, OSMOND, NE (PIERCE COUNTY) PLAINVIEW COMMUNITY HOSPITAL, PLAINVIEW, NE (PIERCE COUNTY) TILDEN COMMUNITY HOSPITAL, TILDEN, NE (ANTELOPE COUNTY) NIOBRARA VALLEY HOSPITAL, LYNCH, NE (BOYD COUNTY) WEST HOLT MEMORIAL HOSPITAL, ATKINSON, NE (HOLT COUNTY)WHILE THE OTHER THREE HOSPITALS ARE NOT REQUIRED TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT OR COMMUNITY HEALTH IMPROVEMENT PLAN, WORKING WITH THEM TO CREATE COMMUNITY SPECIFIC PLANS WILL HELP TO MAKE NCDHD'S OVERALL COMMUNITY HEALTH IMPROVEMENT PLAN MORE MEANINGFUL. THOSE HOSPITALS ARE: BROWN COUNTY HOSPITAL, AINSWORTH, NE (BROWN COUNTY) CHERRY COUNTY HOSPITAL, VALENTINE, NE (CHERRY COUNTY) ROCK COUNTY HOSPITAL, BASSETT, NE (BROWN COUNTY)
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation12PART V, SECTION B, LINE 5C: SINCE THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS NOT ADOPTED BY THE BOARD UNTIL AUGUST, TIME FOR ADDRESSING THE NEEDS WAS LIMITED. HOWEVER, NIOBRARA VALLEY HOSPITAL STARTED A PREDIABETIC QUARTERLY CLASS WHICH BEGAN IN AUGUST. RECRUITMENT EFFORTS HAVE BEEN INCREASED BY CONTRACTING WITH ADDITIONAL COMPANIES.
IRS990ScheduleH/Form990ScheduleHPartVI/Explanation13PART V, SECTION B, LINE 7: MULTIPLE NEEDS HAVE NOT YET BEEN ADDRESSED DUE TO THE TIMING OF ASSESSMENT ADOPTION.

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Filings

Displayed year

2013 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$2,143,552
Liabilities
$565,445
Net assets
$1,578,107
Revenue
-
Expenses
$1,893,582
Net income
-
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$4.83$0.27$4.56$3.86$4.07$0.21
2023Detailed filing. Detailed filing data is available for this year.$5.15$0.36$4.79$3.74$3.51$0.23
2022Detailed filing. Detailed filing data is available for this year.$5.15$0.57$4.58$3.54$3.16$0.38
2021Detailed filing. Detailed filing data is available for this year.$6.48$2.29$4.19$4.63$2.97$1.66
2020Detailed filing. Detailed filing data is available for this year.$5.18$2.69$2.49$2.80$2.85$0.05
2019Detailed filing. Detailed filing data is available for this year.$2.80$0.33$2.48$2.63$2.65$0.02
2018Detailed filing. Detailed filing data is available for this year.$2.67$0.18$2.49$2.67$2.71$0.03
2017Detailed filing. Detailed filing data is available for this year.$2.68$0.17$2.51$2.63$2.70$0.07
2016Detailed filing. Detailed filing data is available for this year.$2.91$0.35$2.56$3.06$2.68$0.38
2015Detailed filing. Detailed filing data is available for this year.$2.59$0.43$2.16$2.80$2.53$0.28
2014Detailed filing. Detailed filing data is available for this year.$2.18$0.28$1.90$2.51$2.21$0.30
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.14$0.57$1.58$1.89
2012Summary only. Only limited summary data is available for this year.$1.54$0.21$1.33$1.92$2.01$0.09
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.76$0.35$1.41$1.86
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.51$0.21$1.30$1.82